Bodle, Stacy Marie

Bodle, Stacy Marie is an individual health care provider with primary practice located at 420 Ne Mason St , Portland OR 97211-3479. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bodle, Stacy Marie can be contacted via phone (506) 546-9421.

Contact Information

Primary practice address
420 Ne Mason St Portland OR 97211-3479
Phone: (506) 546-9421
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 200730013LPN Oregon

Profile Details

NPI number 1568816171
LBN Legal business name Bodle, Stacy Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2016
Last updated Apr 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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